Guiding Light Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GUIDING LIGHT THERAPY

Practice address

8150 Leesburg Pike FL 14
Vienna, VA 22182-7715

Phone

(703) 395-4445

NPI assigned

Dec 14, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Perry, LCSWNPI 1285810309

Title

Owner

Phone

(757) 585-3366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan M Perry, LCSW

  • Clinical Social Worker
  • Vienna, VA
  • NPI 1285810309

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1407515729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4193 HAYMARKET LN",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881466",
            "telephone_number": "757-585-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 LEESBURG PIKE FL 14",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221827715",
            "telephone_number": "703-395-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4193 Haymarket Ln",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231881466",
            "country_code": "US",
            "telephone_number": "703-395-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUIDING LIGHT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-585-3366",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten S Grove, D.C.
• Mary Branch Grove, LCSW
• Connie R Grow, D.O.
• Walter Cesar Guarino, M.D.
• Cori Guevara
• Nishi Gulati, M.D.
• Aklilu Guluma, FNP
• Kirsten Virginia Gunter, MSN, CPNP-AC
• Juanli Guo, DMD, MS, PHD, FACP
• Run Guo, LAC

• Clinical Social Worker in Vienna, VA
• Providers in Vienna, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.